Monopolar capacitive / resistive radiofrequency 448 kHz (INDIBA®

(INDIBA® activ
Therapy), working as a Rehabilitation Therapy in Sports Medicine
Retrospective analysis of its application in a Sports High Performance
Performance Center (CAR Sant Cugat,
Cugat, Barcelona) during the period
2009-
2009-2011

Vall, J.(1); Sendrós, S.(2); Sust, F.(3); Linde, X(.3) y Til, Ll.(4)
(1) Faculty of Health and Life Sciences, UPF (Barcelona). (2) Medical Department of INDIBA S.A. (3)(4) Physiotherapy department of CAR, Sant Cugat del Vallès (4) Head of Service.

INTRODUCTION RESULTS
SPORTS PRACTICED CAR Sant Cugat
Intensive sports practice, typical of elite sports, causes a significant
incidence in the musculoskeletal system injuries.

30 - 50 % of sports lesions are caused by an excessive use of soft tissues.

50 - 70 % are distributed between incorrect trainings, overtaxes and/or bad
or null use of protection.

80 % of the suffered injuries during sports training involve the soft tissues
Patients (%)

(muscle, tendons, ligaments and joints). The other 20% involves injuries of
other body structures.
Improve

Main objective of the medical treatment Do not improve

Surgery

Fast recovering Early incorporation to sports Prevention of the common

practice repetition injuries Acute Chronic Acute Acute Chronic Acute Chronic Acute Chronic
Chronic
Athletics Taekwondo Gymnastics Motor Trampoline Gymnastics

Differences in the evolution of the injuries depending on the sports practiced. Sportsmen training in the High Performance Center (CAR) facilities in Sant Cugat (Barcelona)
Therapeutic alternatives Analysis of the sports with a highest incidence (n ≥4).

INJURY CONDITION: Acute / Chronic CONDITION OF THE INJURY DEPENDING ON THE GENDER
Manual physiotherapy Pharmacological Directed Electrotherapy
(passive mobilization of treatments exercises
body and massage) Radiofrequency Response of the patients
Microwaves Percentage of patients who improve in ACUTE Percentage of patients who improve in
Infrared injuries
90 CHRONIC injuries
Ultrasounds
80 90
70 80
80
Patietns

60 70
Monopolar Capacitive / Resistive Radiofrequency 448 kHz (INDIBA* activ ProRecovery) 50 70

Patients (%)
60
40 60
50
Patients (%)

Mode of action 30 50 40
20
40 30
10
Hyperthermia action Athermia action 0 30 20
Increase of Temperature Interaction of current flow on the tissue 20
10
Acute Chronic Acute Chronic Acute Chronic 0
10
Improve Do not improve Surgery 0
Men Women Men Women
Increment of: biostimulation,
biostimulation, vascularization and tissue prescription Men Women Men Women
Improve Do not improve
hyperactivation Improve Do not improve
Improvement Improvement of patients Improvement

Acute injuries evolve better than the chronic ones. Gender is not important regarding the evolution of the acute injuries, but it has an influence in the chronic ones,
where women evolve better than the men.

MATERIALS and METHODS

APLICATION OF INDIBA®
INDIBA® activ THERAPY NUMBER OF RECEIVED SESSIONS
60 patients (34 men and 26 women) with a mean age of 24 +/- 5 years .
Evolution of patients according the number of sessions
Inclusion criteria: Exclusion criteria:
1. Age: 15-30 years old 1. Injures from non-sportive origin. 100
90
2. Confirmed medical diagnosis. 2. Concomitant treatments without identification. 80
3. Musculoskeletal system injuries. 3. Non-justified relinquishment. 70
P a tie n ts (% )

4. Have received one or more complete 4. Incomplete critical data (diagnosis, treatment 60
sessions of the treatment (> 20 minutes). definition, results…). 50
40
Muestra 30
Device: 20
10
Distribución de los pacientes según lesión INDIBA activ 0
Número pacientes (%)

ProRecovery HCR 1 1 to 5 >5 1 1 to 5 >5

30%
25%
902 (Maximal power
Improve Do not improve
20% capacitive / Resistive
15%
10% 450 VA /200 W). Physiotherapist applying the technique INDIBA® activ Therapy. Patients who have received a higher number of sessions, have better results in their evolution.
5%
0%
Tendinopatía
Lesión Muscular

Lumbalgia

Sobrecarga

Post-quirúrgico

Fractura

Distensión
Luxación/Sublux

Otras

Session’
Session’s length:
ación

Personalized by the
physiotherapist.
CONCLUSIONS
Tipo de lesión Minimal 20 minutes.
1. Efficient and safe technique in the rehabilitation treatment of musculoskeletal injuries of sports trainers: it
Received treatments: Controlled variables:
decreases pain, increases functional mobility and reduces the recovering time.
2. It reaches a total satisfying efficiency in the 73,3% of patients: 85,7 % in acute lesions and 47,0% in
1.Subjective: Interrogation of the patient done by the
1.INDIBA + physiotherapist. chronic ones. The chronic condition means a worst prognostic in recuperation.
2. Pharmacological 2.Objective: Application of specific tests done by the 3. The number of sessions per patients is reduced when comparing them with the normally needed and the
doctor (MRI, x-ray, ultrasound…). published in clinical studies. There is a significant correlation between number of sessions and registered
treatments (when
necessary) + Registered and analyzed variables: efficiency.
3.Manual therapy + 1. Pathology: Medical diagnoses 4. Gender does not change the prognosis of evolution in acute injuries but it does in the chronic ones.
4.Physiotherapy +
2. Gender 5. Regarding pathologies, the ranking of higher to lower efficiency is established like: Muscular > Bones and
3. Condition of the lesion:: Acute or chronic (age). Joints > Ligaments.
5.Diacutaneous fibrolysis + 4. Number of sessions: n
6.Massage therapy. 5. Evolution according to the scale: good, medium, null.
6. New controls and comparative studies should be done in order to increase the obtained results of this
technique in the area of high competition sports.

*INDIBA SA. Enamorats 17-19, 08013 Barcelona, Spain Presented in the XXIII Jornadas de la Asociación Española de Médicos de Baloncesto (XXII Conference of the Spanish Association of Basketball Physicians).
English version translated from the original Spanish one. Bilbao, Spain, 20 – 23 Junio 2012.